DR. Fredrick D Carlson, DDS

NPI #1063425130 in Fairmont, Minnesota

Provider Information

NPI Number: 1063425130
Entity Type: Individual
Name: DR. Fredrick D Carlson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 717 S STATE ST
Address 2: STE 700
City: Fairmont
State: Minnesota
ZIP Code: 56031-4469
Phone: (507) 238-1883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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